Children's Health Ireland at Temple Street, Dublin, Ireland.
Institute of Public Health in Ireland, Dublin, Ireland.
Ir J Med Sci. 2024 Apr;193(2):783-790. doi: 10.1007/s11845-023-03507-2. Epub 2023 Sep 12.
Smoking continues to cause harm on a huge scale in Ireland. Doctors can help this harm through providing safe, effective and clinically sound stop smoking care, but the needs of Irish doctors in this area are largely uncharted.
We assessed the knowledge, attitudes and practices of Irish doctors regarding stop smoking care and electronic cigarettes.
An Internet-based cross-sectional survey was administered to members of the Royal College of Physicians in Ireland and the Irish College of General Practitioners. Descriptive statistics for key parameters were derived and factors associated with more consistent practice of brief intervention, a key component of stop smoking care, were analysed using chi-square testing.
There were 250 responses (58.7% female, 53.0% aged under 45 years, 55.1% graduated in medicine before 2000 and 57.2% worked in general practice). Most (84.9%) reported often or always asking about patient's smoking behaviour, and most (86.1%) reported often or always advising patients to stop. However, providing or arranging effective stop smoking care was weak and less consistently practised, and while most (91.4%) saw it as a responsibility, few doctors (28.5%) agreed they were sufficiently trained in this area of clinical care. Confidence in the knowledge of e-cigarettes was poor.
While there is a strong reservoir support and areas of good reported practice in stop smoking care among doctors in Ireland, the development of their knowledge and skills in arranging effective care should be supported if doctors are to fulfil their huge potential role in tackling the harm caused by smoking.
在爱尔兰，吸烟仍在大规模地造成危害。医生可以通过提供安全、有效和合理的戒烟护理来帮助减轻这种危害，但爱尔兰医生在这方面的需求在很大程度上仍未得到了解。
我们评估了爱尔兰医生在戒烟护理和电子烟方面的知识、态度和实践。
对爱尔兰皇家内科医师学院和爱尔兰全科医生学院的成员进行了基于互联网的横断面调查。得出了关键参数的描述性统计数据，并使用卡方检验分析了与更一致地实施简短干预（戒烟护理的一个关键组成部分）相关的因素。
共有 250 名医生做出了回应（58.7%为女性，53.0%年龄在 45 岁以下，55.1%在 2000 年之前毕业于医学院，57.2%在全科医疗工作）。大多数医生（84.9%）经常或总是询问患者的吸烟行为，大多数医生（86.1%）经常或总是建议患者戒烟。然而，提供或安排有效的戒烟护理的能力较弱，且实践不够一致，尽管大多数医生（91.4%）认为这是他们的责任，但很少有医生（28.5%）认为他们在这一临床护理领域接受了充分的培训。对电子烟知识的信心较差。
虽然爱尔兰医生在戒烟护理方面有强烈的支持意愿和良好的报告实践，但如果医生要充分发挥他们在解决吸烟造成的危害方面的巨大潜力，就应该支持他们在安排有效护理方面的知识和技能的发展。
